NUR 113 Test 1 Study Guide 2026 | Complete Review |
Graded A+
1. An adult client in the clinic complains of a cough, fever, nausea, & vomiting for
3 days. Exam reveals dry tongue & oral mucosa & concentrated urine. The
client also reports feeling weak & dizzy. Which vital sign measurement would
provide the best indicator of current fluid status?
Respiratory rate & depth
BP & pulse in lying & standing positions
Pulse oximetry reading at rest
Temperature
2. What primarily maintains extracellular fluid osmolarity?
Magnesium
Sodium
Potassium
Chloride
3. Stacey is experiencing a PPH. You ask the student to prepare for rapid IV
fluid replacement. She asks what type of cannula to use. Your response is:
Large bore IV cannula, 16 gauge
Large bore IV cannula, 22 gauge
Large bore IV cannula, 20 gauge
Large bore IV cannula, 18 gauge
4. What condition is indicated by a low level of potassium in a patient?
, Fluid volume overload
Hypokalemia
Hyperkalemia
Hyponatremia
5. If a client on a low-sodium diet is experiencing symptoms of fluid volume
overload, which intervention would be most appropriate?
Administer diuretics without consulting a physician.
Encourage high-sodium snacks to improve energy.
Restrict fluid intake and monitor daily weights.
Increase sodium intake to balance electrolytes.
6. What is the primary reason for implementing a fluid restriction in patients with
fluid volume overload?
To encourage the patient to drink more fluids.
To protect the heart and lungs from being overloaded with fluid.
To prevent dehydration and dry mouth.
To comply with hospital policy on fluid intake.
7. A patient presents with symptoms of lethargy and muscle weakness. Upon
testing, they have a high serum magnesium level. If this patient has a history
of frequent laxative use, what nursing intervention should be prioritized?
Monitor the patient for signs of dehydration.
Increase the patient's fluid intake immediately.
Educate the patient on the risks of laxative overuse.
Administer magnesium supplements to correct the imbalance.
,8. In a scenario where a patient with congestive heart failure is experiencing
shortness of breath and has a pulse oximetry reading of 90%, what should the
nurse prioritize after slowing the IV rate?
Increase the IV rate to improve hydration.
Administer diuretics without assessing the patient.
Immediately notify the physician without further assessment.
Assess the patient's respiratory status and provide supplemental
oxygen if needed.
9. What type of IV solution is used to maintain osmotic equilibrium across cell
membranes?
Isotonic
Hypotonic
Hypertonic
Hyperosmolar
10. What is the normal range in adult arterial blood lab measurements for pH?
7.25 - 7.35
7.5 - 8.0
7.35 - 7.45
7.0 - 7.5
11. Which symptom is commonly associated with hypermagnesemia that a nurse
should monitor?
Increased heart rate
Nausea
, Muscle cramps
Diminished deep tendon reflexes
12. What condition is commonly linked to elevated magnesium levels due to
excessive intake of certain medications?
Diabetes
Kidney failure
Dehydration
Overuse of laxatives
13. A client has renal failure. Today's lab values indicate he has an elevated
serum potassium. What additional priority information does the nurse need
to obtain?
Evaluation of his level of consciousness
Evaluation of an electrocardiogram
Serum potassium lab values for the last several days
Measurement of his urine output for the past 8 hours
14. A patient presents with excessive thirst and elevated sodium levels. What
nursing intervention should be prioritized to address this condition?
Increase potassium intake to balance electrolytes.
Monitor blood pressure for hypotension.
Administer fluids to correct dehydration.
Restrict sodium intake to lower levels.
15. Sodium, Chloride and Potassium are all
Graded A+
1. An adult client in the clinic complains of a cough, fever, nausea, & vomiting for
3 days. Exam reveals dry tongue & oral mucosa & concentrated urine. The
client also reports feeling weak & dizzy. Which vital sign measurement would
provide the best indicator of current fluid status?
Respiratory rate & depth
BP & pulse in lying & standing positions
Pulse oximetry reading at rest
Temperature
2. What primarily maintains extracellular fluid osmolarity?
Magnesium
Sodium
Potassium
Chloride
3. Stacey is experiencing a PPH. You ask the student to prepare for rapid IV
fluid replacement. She asks what type of cannula to use. Your response is:
Large bore IV cannula, 16 gauge
Large bore IV cannula, 22 gauge
Large bore IV cannula, 20 gauge
Large bore IV cannula, 18 gauge
4. What condition is indicated by a low level of potassium in a patient?
, Fluid volume overload
Hypokalemia
Hyperkalemia
Hyponatremia
5. If a client on a low-sodium diet is experiencing symptoms of fluid volume
overload, which intervention would be most appropriate?
Administer diuretics without consulting a physician.
Encourage high-sodium snacks to improve energy.
Restrict fluid intake and monitor daily weights.
Increase sodium intake to balance electrolytes.
6. What is the primary reason for implementing a fluid restriction in patients with
fluid volume overload?
To encourage the patient to drink more fluids.
To protect the heart and lungs from being overloaded with fluid.
To prevent dehydration and dry mouth.
To comply with hospital policy on fluid intake.
7. A patient presents with symptoms of lethargy and muscle weakness. Upon
testing, they have a high serum magnesium level. If this patient has a history
of frequent laxative use, what nursing intervention should be prioritized?
Monitor the patient for signs of dehydration.
Increase the patient's fluid intake immediately.
Educate the patient on the risks of laxative overuse.
Administer magnesium supplements to correct the imbalance.
,8. In a scenario where a patient with congestive heart failure is experiencing
shortness of breath and has a pulse oximetry reading of 90%, what should the
nurse prioritize after slowing the IV rate?
Increase the IV rate to improve hydration.
Administer diuretics without assessing the patient.
Immediately notify the physician without further assessment.
Assess the patient's respiratory status and provide supplemental
oxygen if needed.
9. What type of IV solution is used to maintain osmotic equilibrium across cell
membranes?
Isotonic
Hypotonic
Hypertonic
Hyperosmolar
10. What is the normal range in adult arterial blood lab measurements for pH?
7.25 - 7.35
7.5 - 8.0
7.35 - 7.45
7.0 - 7.5
11. Which symptom is commonly associated with hypermagnesemia that a nurse
should monitor?
Increased heart rate
Nausea
, Muscle cramps
Diminished deep tendon reflexes
12. What condition is commonly linked to elevated magnesium levels due to
excessive intake of certain medications?
Diabetes
Kidney failure
Dehydration
Overuse of laxatives
13. A client has renal failure. Today's lab values indicate he has an elevated
serum potassium. What additional priority information does the nurse need
to obtain?
Evaluation of his level of consciousness
Evaluation of an electrocardiogram
Serum potassium lab values for the last several days
Measurement of his urine output for the past 8 hours
14. A patient presents with excessive thirst and elevated sodium levels. What
nursing intervention should be prioritized to address this condition?
Increase potassium intake to balance electrolytes.
Monitor blood pressure for hypotension.
Administer fluids to correct dehydration.
Restrict sodium intake to lower levels.
15. Sodium, Chloride and Potassium are all
